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Onward and Upward!
The path to find the patient voice
A patient activist perspective by Regina Holliday
Once there was a little boy named Freddie who lived in Maryland and a little girl
in Oklahoma named Regina. They both watched a lot of television.
Patient Reported Data
When the abuse becomes too bad call this number.
We met in a scenic painting class at Oklahoma State University.
We would talk of Stephen King’s Dark Tower.
We would fall in love.
Fred and I married, worked and played together for many years.
Fred continued his schooling and worked as video store clerk.
In 2005,
Fred would get a PhD in film studies
and would write his dissertation
About “Buffy the Vampire Slayer.”
In 1998,
Freddie III joined the family game
followed by
the littlest player Isaac in 2006.
The Holliday Family Christmas 2007
Everything we ever wanted…
Resolutions January 2008:
1. Get Medical Insurance for the whole family
2. Get little Freddie into a special needs school
3. Fred gets a job in his field
4. Spend more time together as a family
5. Get a two bedroom apartment
Freddie’s	
IEP	Binder
During the months of
January, February and
March of 2009,
Status Lines…
On Friday March 13th, We went to the ER because Fred was in so much pain .
We waited three hours before being sent home.
Fred was hospitalized on March 25th 2009
for the administration of tests.
On March 27th, he was told while alone that
he had “tumors and growths.”
He was scared and confused and did not understand.
His oncologist left town for the next four days to a medical
conference and was not reachable by phone or email.
What was the diagnosis? What were the treatment options? Would he get a pain consult?
System Error:
More than just a bad doctor.
This is my husband’s medical record.
I was told it would cost
73 Centsper page
and we would have to wait 21 days to get a copy.
This document included all the things we needed to
help him including the MAR
(Medical Administration Record).
“She must not have tried very hard to get the record….”
Comparing access to an unpublished book by
Stephen King
to accessing the
Medical Record while hospitalized.
“Go After Them,
Regina.”
April 18, 2009
Hospital 2.
After waiting for 5 days for a transfer, we were
sent with an out of date and incomplete medical
record and transfer summary.
The new staff spent 6hours trying to cobble
together a record using a phone and a fax machine.
This is the
vital clinical information
from Fred’s electronic medical record.
Painted on the wall of
Pumpernickel’s Deli in
Washington, DC.
What about the chemotherapy?
We were told an order for Sutent had been placed.
It did not come. The hospital pharmacy kicked out the order
as it was too expensive.
I would have to order it from a specialty pharmacy and have
delivered to our apartment.
This painting is “Sutent in a Shadow Box.”
It is a mixed media piece of pills & paper.
It is priced at cost in homage of the
retail price of the pills alone.
17 pills $24,285.71
I am trying to talk with Christine Kraft and epatient Dave.
Why did we get more help and answers from
Social Media
than from our local hospital ?
Going to Hospice.
We fulfilled our final 2008 resolution on June 11th 2009.
We moved into a two bedroom apartment so I could care for Fred in home hospice.
He died six days later on June 17th, 2009
Writing
on the
Wall.
(or what one widow can
do with a borrowed ladder
an available wall and
$500.00 in paint.)
Painting Advocacy meets
Social Media
Street art is truly the first global art movement fueled by the Internet.
–Marc and Sara Schiller, Wooster Collective, 2010
73 Cents.
Our story is the last thing a CVS customer
Sees as they leave the lot clutching their
pharmacy bag.
First the broken people spoke to me.
Then the regular people would listen.
Then I was speaking to the world.
I am asking you how will the
patient and patient advocate
be allowed to access the
information of (the) EMR, to
have that a standardized form,
that we all as advocates of our
spouses or loved ones, (can)
provide the best the best level
of data and catch all kinds of
errors in the medical
record?”
I Attended Free Public Meetings
June 29, 2009
“I applaud you for what
you (are) doing with
limited resources to try to
help your family, but I am
committed to making sure
we have a foundation
available so that clinicians
on their own and by
themselves and amongst
themselves can start to
have those kinds of
transactions captured.”
-Aneesh Chopra,
Chief Technology Officer and
Associate Director of Technology
I didn’t see patient access to the EMR addressed in his answer.
July 23, 2009
Senate Press Conference:
High Costs of Health Care
Testify: April 20, 2010
Access to the Electronic Medical Record: A Patient and Caregiver
Perspective Testimony before the HIT Policy Committee Meaningful
Use Workgroup, April 20th, 2010
Meaningful Use: Stage 1 Announcement
July 13, 2010
.
The Stages of Meaningful Use
Protesting at the AHA annual meeting:
Using Balloons, Bubbles and Songs
Painting
Protest
At
H.S.S.
THE BIG BAD
THE FINAL BOSS
What meme depicts
our treatment of patients?
Consumer Reporting System for Patient Safety,
When the abuse becomes too bad call this number.
Why not paint open access hospital data sets…
…in front of said hospital?
Why not paint about the need
for better hygiene practices and
then enter that painting in an
online vote competition?
Sometimes “blowing a gasket” leads to the best kind of collaborative
disruption. Crowd-funding exists to make the impossible possible….
Patient Scholarships
You cancrowd fund in healthcare.
#CINDERBLOCKS3
Where are the HOSPICE cards?
There is nothing between “Get Well” and “Sympathy”
Where are the faces of the dying and those that love them?
#TweetChat
can change
the conversation.
#EOL
#Tedmed
#DWDchat
#hospice
#HospiceCards
Become a reality
Blue Button: More than app for veterans
40 jacket stories can reach 40,000 minds at HIMSS
Painting at HIMSS 2014…
Announcement at HIMSS 2016
The more stickers that are out there the more important it seems.
The more important it seems, the more people want to know what it is.
The more they ask they ask each other.
It gains real power from perceived power. -Shepard Fairey
“Noncompliant”
Ted Eytan
“Silos”
Keith Boone
Adverse
Childhood
Experience
Survey
@boltyboy
“The thing about a hero,
is even when it doesn't look like
there's a light at the end of the tunnel,
he's going to keep digging,
he's going to keep trying to do right
and make up for what's gone before,
just because that's who he is.”
― Joss Whedon
Everyone has a story.
PhotobyTedEytan
Be the change you wish to see.
You can take a negative and turn
it into a
POSITIVE.

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Onwards and upwards

  • 1. Onward and Upward! The path to find the patient voice A patient activist perspective by Regina Holliday
  • 2.
  • 3. Once there was a little boy named Freddie who lived in Maryland and a little girl in Oklahoma named Regina. They both watched a lot of television.
  • 5. When the abuse becomes too bad call this number.
  • 6. We met in a scenic painting class at Oklahoma State University. We would talk of Stephen King’s Dark Tower. We would fall in love.
  • 7. Fred and I married, worked and played together for many years. Fred continued his schooling and worked as video store clerk. In 2005, Fred would get a PhD in film studies and would write his dissertation About “Buffy the Vampire Slayer.” In 1998, Freddie III joined the family game followed by the littlest player Isaac in 2006.
  • 8. The Holliday Family Christmas 2007
  • 9. Everything we ever wanted… Resolutions January 2008: 1. Get Medical Insurance for the whole family 2. Get little Freddie into a special needs school 3. Fred gets a job in his field 4. Spend more time together as a family 5. Get a two bedroom apartment Freddie’s IEP Binder
  • 10. During the months of January, February and March of 2009, Status Lines…
  • 11. On Friday March 13th, We went to the ER because Fred was in so much pain . We waited three hours before being sent home.
  • 12. Fred was hospitalized on March 25th 2009 for the administration of tests. On March 27th, he was told while alone that he had “tumors and growths.” He was scared and confused and did not understand. His oncologist left town for the next four days to a medical conference and was not reachable by phone or email.
  • 13. What was the diagnosis? What were the treatment options? Would he get a pain consult?
  • 14. System Error: More than just a bad doctor.
  • 15. This is my husband’s medical record. I was told it would cost 73 Centsper page and we would have to wait 21 days to get a copy. This document included all the things we needed to help him including the MAR (Medical Administration Record).
  • 16. “She must not have tried very hard to get the record….” Comparing access to an unpublished book by Stephen King to accessing the Medical Record while hospitalized.
  • 18. Hospital 2. After waiting for 5 days for a transfer, we were sent with an out of date and incomplete medical record and transfer summary. The new staff spent 6hours trying to cobble together a record using a phone and a fax machine.
  • 19. This is the vital clinical information from Fred’s electronic medical record. Painted on the wall of Pumpernickel’s Deli in Washington, DC.
  • 20.
  • 21. What about the chemotherapy? We were told an order for Sutent had been placed. It did not come. The hospital pharmacy kicked out the order as it was too expensive. I would have to order it from a specialty pharmacy and have delivered to our apartment. This painting is “Sutent in a Shadow Box.” It is a mixed media piece of pills & paper. It is priced at cost in homage of the retail price of the pills alone. 17 pills $24,285.71
  • 22. I am trying to talk with Christine Kraft and epatient Dave. Why did we get more help and answers from Social Media than from our local hospital ?
  • 24. We fulfilled our final 2008 resolution on June 11th 2009. We moved into a two bedroom apartment so I could care for Fred in home hospice. He died six days later on June 17th, 2009
  • 25. Writing on the Wall. (or what one widow can do with a borrowed ladder an available wall and $500.00 in paint.)
  • 26. Painting Advocacy meets Social Media Street art is truly the first global art movement fueled by the Internet. –Marc and Sara Schiller, Wooster Collective, 2010
  • 27. 73 Cents. Our story is the last thing a CVS customer Sees as they leave the lot clutching their pharmacy bag.
  • 28. First the broken people spoke to me. Then the regular people would listen. Then I was speaking to the world.
  • 29. I am asking you how will the patient and patient advocate be allowed to access the information of (the) EMR, to have that a standardized form, that we all as advocates of our spouses or loved ones, (can) provide the best the best level of data and catch all kinds of errors in the medical record?” I Attended Free Public Meetings June 29, 2009
  • 30. “I applaud you for what you (are) doing with limited resources to try to help your family, but I am committed to making sure we have a foundation available so that clinicians on their own and by themselves and amongst themselves can start to have those kinds of transactions captured.” -Aneesh Chopra, Chief Technology Officer and Associate Director of Technology I didn’t see patient access to the EMR addressed in his answer.
  • 31. July 23, 2009 Senate Press Conference: High Costs of Health Care
  • 32. Testify: April 20, 2010 Access to the Electronic Medical Record: A Patient and Caregiver Perspective Testimony before the HIT Policy Committee Meaningful Use Workgroup, April 20th, 2010
  • 33. Meaningful Use: Stage 1 Announcement July 13, 2010 .
  • 34. The Stages of Meaningful Use
  • 35. Protesting at the AHA annual meeting: Using Balloons, Bubbles and Songs
  • 37.
  • 38. THE BIG BAD THE FINAL BOSS What meme depicts our treatment of patients?
  • 39. Consumer Reporting System for Patient Safety, When the abuse becomes too bad call this number.
  • 40. Why not paint open access hospital data sets…
  • 41. …in front of said hospital?
  • 42. Why not paint about the need for better hygiene practices and then enter that painting in an online vote competition?
  • 43. Sometimes “blowing a gasket” leads to the best kind of collaborative disruption. Crowd-funding exists to make the impossible possible….
  • 44. Patient Scholarships You cancrowd fund in healthcare.
  • 45.
  • 47. Where are the HOSPICE cards? There is nothing between “Get Well” and “Sympathy” Where are the faces of the dying and those that love them?
  • 49.
  • 51. Blue Button: More than app for veterans
  • 52.
  • 53. 40 jacket stories can reach 40,000 minds at HIMSS
  • 54. Painting at HIMSS 2014… Announcement at HIMSS 2016
  • 55.
  • 56.
  • 57. The more stickers that are out there the more important it seems. The more important it seems, the more people want to know what it is. The more they ask they ask each other. It gains real power from perceived power. -Shepard Fairey
  • 60.
  • 62. “The thing about a hero, is even when it doesn't look like there's a light at the end of the tunnel, he's going to keep digging, he's going to keep trying to do right and make up for what's gone before, just because that's who he is.” ― Joss Whedon
  • 63. Everyone has a story.
  • 65. Be the change you wish to see.
  • 66. You can take a negative and turn it into a POSITIVE.